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CALOCUS/LOCUS User Account or Termination Request Form - dmh dc 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the Originator of Request's last name, followed by their first name and middle initial if applicable.
- Fill in the User Information section, including the User's last name, first name, middle initial, telephone number, job title, email address, organization name, address, city, state, and zip code.
- Select the appropriate checkboxes for creating or terminating a login ID and requesting access to LOCUS or CALOCUS.
- Indicate the User's job title by checking the corresponding box.
- For DMH Authority completion, ensure that access levels are checked as needed.
- Finally, certify your signature by checking the box regarding HIPAA compliance before submitting the form.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2009 | 4.6 Satisfied (63 Votes) |
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